| NPI | 1932543048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 54004) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 54004) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2020-08-27 |